Author Topic: Jersey General Hospital  (Read 62920 times)

Online Fritz

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Re: Jersey General Hospital
« Reply #195 on: May 16, 2014, 01:47:56 AM »
On a lighter note, but equally important is the cruellest cut of all - the change from 2 ply to 1 ply toilet paper in all hospital toilets.  A disgrace.

The cost of my no longer existent ,"zit", is probably responsible for that. ;)

Offline gladiator

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Re: Jersey General Hospital
« Reply #196 on: May 18, 2014, 11:39:12 PM »
Report from BBC JERSEY 17 May 2014

Jersey considers independent hospital regulating body

Ministers said they felt external hospital oversight would benefit care

Half of A&E patients 'non-urgent'
Intensive care unit work completed
Operating theatres built on stilts
Plans to introduce an independent regulating body to oversee hospital services in Jersey are being considered by the Health Department.

Ministers said they felt external oversight would benefit care quality.

It would also help the island keep pace with developments in health provision elsewhere, they added.

Assistant Minister John Refault said: "We must remain ever-vigilant that there are moving trends around us and we must do our best to reflect those."

The island's general hospital, which currently sees about 250,000 patients a year and employs about 1,600 staff, is currently self-regulated.

Mr Refault said: "It is up to us to put in place another form of regulation to ensure that someone checks that we are looking at ourselves appropriately."

One option being considered was collaborating with the Isle of Man to create a regulatory commission for both islands, Minister Anne Pryke said.

She said teaming up with a place that had a similar-sized population would mean they could work with another jurisdiction that had "similar challenges".

It would also be cost-effective, she added.

http://www.bbc.co.uk/news/world-europe-jersey-27437578


There are a few problems here which Assistant Minister Mr Refault and Health Minister Mrs Anne Pryke have not considered or have been misinformed by their civil servants.

First of all the Isle of Man's health and social care services system is an adopted NHS model since 1948 with the promise of universal healthcare free at delivery.

Secondly the IoM's department of health and social care are not only responsible regarding hospital and mental health services but also for the community care and GP services whereas in Jersey the GPs are privately run businesses and it seems they are not regulated by a higher authority. The White Paper document which has set the way for a reform of Jersey's health and social care has no plans to change the status of the GP services.

Thirdly following concerns of about patient safety at IoM Noble’s ( name of hospital)  in 2012 by 10 hospital consultants in a letter leaked to Isle of Man Newspapers which led to a backbenchers’ call for the resignation of the then Health Minister David Anderson. The Isle of Man Department of Health and Social Care has commissioned the West Midlands Quality Review Service to undertake a rolling programme of external independent quality assurance of Isle of Man health services over the next three years.
 
This was subsequently published:

Damning report into Isle of Man’s health services
by Adrian Darbyshire
Published on the 11 April 2014 on IOM Today on-line

Quotes:

A damning report into patient care at Noble’s Hospital has highlighted staff shortages, weak management and a culture of blame.

‘The prevalence of blame was undermining morale of staff and confidence of patients,’ the report found.

There was also lack of trust, a perceived lack of openness and staff frustration, while a culture and governance of the services had ‘drifted away from what is considered good practice in England, including a loss of insight into what constitutes a good healthcare system and good clinical practice’.

Reviewers saw many examples of ‘due process’ not being followed.

http://www.iomtoday.co.im/news/isle-of-man-news/damning-report-into-isle-of-man-s-health-services-1-6552746#comments-area

Then the next issue arose:

Is £2.1m enough to solve Isle of Man’s health service problems?

http://www.iomtoday.co.im/news/health/is-2-1m-enough-to-solve-isle-of-man-s-health-service-problems-1-6602734

But the IoM didn't even stop there as they also had the Beamans Report published in Dec 2013 which investigated the management effectiveness which makes a very interesting read.

Quotes:

Isle of Man Dept. of Health: Review of Management Effectiveness Noble’s Hospital

Beamans Management Consultants were invited by the Chief Minister and the Chief Secretary to carry out a review to determine how effective existing management arrangements are at Noble’s hospital in managing and co-ordinating the provision of acute health care.


1.3 The full terms of reference for the review were:

To provide an assessment of the management demands accorded by the effective running of Noble’s Hospital and as part of that assessment:
• Review the role, functions and senior management structure of Noble’s hospital.
• Identify changes or improvements which might be made to the way in which existing functions are delivered including any issues e.g. human resource, organisational etc., which may be adversely impacting on the efficiency or effectiveness of service delivery.
• Identify the most efficient and effective senior management structure to meet current and future operational requirements.
• Recommend changes, identifying costs and benefits, and an implementation plan.
In undertaking the review the review team will have regard to models of good practice in the UK and other jurisdictions.

In this section we outline a number of proposals for change which we believe will put in place a more modern, patient-centred, accountable system of governance and accountability which will provide better support to the effective delivery of acute health care.

My comment:

If Jersey's Health Minister Anne Pryke and Assistant Health Minister John  Refault really mean it seriously to have an independent regulator ( and independent means not a Guernsey body like with their complaints procedure) then they have to conduct their health and social care services with openness and transparency with published quality data and review reports in order to win trust and restructure their system similar to the NHS which means including the GPs and their community services under the government's responsibility before they collaborate with the Isle of Man.

It seems to me that the IoM is miles ahead of trying to get their health service up to scratch compared to the Jersey Way.

Mrs Anne Pryke and team can learn from the IoM Beamans Report which states that

Quote:

 that we do not believe that an acute hospital the size of Noble’s can continue to be managed as an operating division of the Department of Health. Leading, managing and co-ordinating a hospital facility providing 365 day, 24/7 acute health care presents a substantially different set of management challenges to those associated with the management of an administrative or policy arm of government. It also requires substantially different skill-sets. In this latter respect, a hospital which employs approximately 1,800 staff with gross running costs in the region of £80 million requires executive leadership.

5.5
In our view, establishing a Governing Board as illustrated in Figure 3 on page 30 will help tighten accountabilities, improve governance and perhaps, most importantly help build more transparent relationships and partnerships with patients and the public. In this latter respect, the establishment of a Governing Board affords the opportunity to build trust and restore public confidence. In setting out this governance framework we would make a number of specific points:

5.18
However, this is to miss the key point of a Board structure. Looking ahead one of the key challenges for Noble’s is to maintain public confidence. To do this there is a need to ensure that the organisation operates with openness, transparency and candour. The Governing Board will have an overarching responsibility, through its leadership and oversight, to ensure – and to be assured – that the hospital operates with transparency, openness and candour. A Governing Board which is inclusive in its representation and independent in its action can provide that oversight and
assurance and be seen to hold the Executive to account in a way that the department cannot.

Most importantly, the Board will have a key role in creating the culture which supports open dialogue which should include ensuring that complaints, concerns and suggestions from patients and staff are listening to and acted on fairly. In this regard, there is no doubt that recent events have shaken public confidence in Noble’s. And in this regard the question here is not so much how effective the existing management and governance arrangements are but what needs to be done to restore that confidence. In our view, it is doubtful whether that confidence can be restored simply by adapting existing hospital and departmental mechanisms of governance and management. In short, more radical change is required.

http://www.gov.im/media/1027297/review_of_management_effectiveness_at_noble_s_hospital.pdf

If the IoM hospital managers and politicians have the backbone to accept their wrongdoings but are able to implement a transparent positive structural change, will  Jersey follow or just spend millions on a new building?
« Last Edit: May 18, 2014, 11:49:37 PM by gladiator »

Offline boatyboy

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Re: Jersey General Hospital
« Reply #197 on: September 04, 2014, 07:18:55 AM »

Minister Anne Pryke - please explain the lack of  accurate basic recording of operations in hospital theatres, what on earth is going on ? Is the same accountability used to determine staff hours, or are some of your staff working in clinics in London but being paid by the Jersey health department ?
,
http://www.statesassembly.gov.je/AssemblyReports/2014/R.094-2014.pdf

Daily Mail

An internationally-acclaimed medic and his team of workers showed a 'cynical disregard' for the NHS by working just half their contracted hours in a scam which cost taxpayers £1.1m.

'While taking a salary from the NHS for a 37-and-a-half hour week, you worked elsewhere at other hospitals during NHS hours. You all four gravely abused the trust placed in you.

Read more: http://www.dailymail.co.uk/news/article-2742165/Four-health-experts-jailed-scamming-NHS-1-1m-working-HALF-contracted-hours-hospital-dubbed-Bas-Vegas-raked-cash-moonlighting.html#ixzz3CIchfjR7

Offline shortport

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Re: Jersey General Hospital
« Reply #198 on: September 05, 2014, 01:36:08 AM »
bet this is rife in Jersey.Waiting times for consultants are so long yet if you want to pay to see them in their private clinics you can usually get an appointment within 2 weeks.Bet there is no information about how many hours they actually work for the states, and not just using their facilities

Offline boatyboy

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Online Fritz

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Re: Jersey General Hospital
« Reply #200 on: May 19, 2015, 12:26:15 AM »
A blind man could see that renting out tax-payer funded facilities to the private sector ,(In order to balance the books), will only increase the waiting times for the folk who pay for the facilities through SS and Taxation but cannot afford to pay for the private use of them when in need.
If the private sector want to invest in facilities, let them get on with it.
As in housing, education or whatever, those who want to invest and get a good earner, should do so with their own capital. NOT PUBLIC FUNDS!!!

Offline boatyboy

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Re: Jersey General Hospital
« Reply #201 on: July 11, 2015, 11:38:08 PM »
It was on the Council of Ministers  cards and always has been.

As the people of Jersey did not turn up in their tens of thousands at the Financial Quarter demonstration, the CoM's took this as a green light to spend even more tax payer pounds, believing the money in the bank of Jersey including the stratigic reserve is there for the taking ( £720 million ) the ministers have little business ethic or sense. As an example why is Health Minister Green not questioning the cost of the new hospital ? Why is he not visting Dumfries to see how they build a larger building for half the price ?

Prudence is a word that you apply to Greece not Jersey.

Although the demonstration of 2,000 souls turn out was good for Jersey, it was not a strong enough response. The Council of Ministers pushed ahead regardless and sorry folks, not only is money being wasted on this grand office scheme but now ( in times off recession and looming black holes ) they are grabbing more of your and my money, a great deal more to build a gold plated and marbled floor, smaller hospital than the one bench marked below but costing more than twice the price.

I am unable to use the name of the Senator, but they personally warned that the new hospital was excessive to the extreme, large plush offices, and all the trimmings that the public sector feel they so richly deserve. The cost was muted at around three hundred million. A ridiculous amount of money.  The basis for that statement is benched marked with a brand new hospital being built below ( on purchased private land ) which will cater for almost 150,000 head of population when built. It offers 350 beds, 1,000 parking spaces and 104 staff residencies. All for around £200 million.

Jersey being an island will incur extra costs for shipping etc however building materials are not subject to 20% Vat as in the UK example. Even so let us assume that the Jersey build will be loaded with a 20% premium for shipping, importing specialist builders. Let us add £40 million to the total. Even I can see that the figure should be close to £250 million as unlike the example below the States own the building site therefor many millions have been saved from not having to purchase private land.   

So fellow islanders, rather than paying around the right price of £250 million for a new hospital,  the price in today’s JEP, it has slipped quietly up to £450 million for a smaller hospital, on states owned land for a smaller population, why the unbelievable difference in price ? All quotes below are selective please see full article's to get the full picture.


JEP.

Previously it had been proposed to build a 275-bed hospital
However, he declined to reveal the locations of the two shortlisted sites for the £450 million hospital.

http://jerseyeveningpost.com/news/2015/07/10/new-hospital-site-to-be-revealed-soon/

Proposals for a new £200m general hospital on the outskirts of Dumfries have been approved by planning committee councillors.
NHS Dumfries and Galloway has earmarked farmland at the Garroch roundabout for the 350-bed facility.
There is also provision for more than 100 staff residences, a helipad and parking for nearly 1,000 cars.
It will replace the existing infirmary building, constructed in the 1970s, on the Bankend Road.

http://www.bbc.co.uk/news/uk-scotland-south-scotland-22280851

We have:

NHS Dumfries and Galloway serves a  population of 148,190 but within a large geographical area of about 2,400 square miles. Dumfries and Galloway stretches from Langholm in the East to Drummore in the West, and from Kirkconnel and Carsphairn in the North down to Sandyhills on the Solway Coast. The Health Board e
Employs around 4,500 staff excluding GPs and Dentists.

http://www.nhsdg.scot.nhs.uk/About_Us/About__Us



From  June 2014

http://planetjersey.co.uk/forum/index.php?topic=451.msg57341#msg57341



Where is all the money going ?



Boatyboy.
« Last Edit: July 12, 2015, 05:51:26 AM by boatyboy »

Offline man in the street

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Re: Jersey General Hospital
« Reply #202 on: July 12, 2015, 05:04:34 PM »
Talking and consulting, costs a packet .
And general ripping off  come to mind if i had to guess where it went.

Offline shortport

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Re: Jersey General Hospital
« Reply #203 on: July 12, 2015, 06:10:31 PM »
What with the police station,the finance centre and now the hospital we should be in enough debt to wipe out the strategic reserve fund within 10 years,combine that with Walkers Andium homes and Ports of Jersey and a continued decline in the islands GVA and all the other corruption and incompetence going on we should be pretty much finished by 2030.It won't be Greece making international headlines,it will be Jersey

Offline ageofaquarius

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Re: Jersey General Hospital
« Reply #204 on: July 14, 2015, 01:14:45 AM »

As things stand there isn't enough staff to run the present hospital, doctors and nurses are in short supply and HSS is obliged to use the occasional locum at exhorbitant rates.  All well and good having a brand new state of the art hospital (in my dreams) but with all the penny pinching and lean thinking don't think we will have enough staff on the front line to deal with the sick and needy.  Plenty of management though, managing their lists of statistics. 


Online Fritz

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Re: Jersey General Hospital
« Reply #205 on: July 14, 2015, 01:46:46 AM »
Not just the hospital.

I still cannot understand why TTS have about 10 ,"Trainee", engineers/managers on hire,(Full time), from a recruitment agency,(And that is apart from the local freelancers who are employed ,"full-time,part-time"), to oversee work that they know nothing about!!(They are not familiar with locally sourced materials or traffic management logistics and treat minor works as if they were working on the M1). These trainees are all housed at the expense of the tax-payer.
I dread to think how many other UK trainees are being financed by other Jersey government departments. IE. US!! The tax-payers. >:(

Offline boatyboy

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Re: Jersey General Hospital
« Reply #206 on: October 29, 2015, 03:35:30 PM »
Hospital to close twenty five beds, twelve immediately.

During the last year the New Health minister Andrew Green has taken over the reigns of Jersey’s floundering health service. It has waiting lists of over six months to see many of the consultants. It has waiting list of over a year for operations and it is short of various qualified medical staff including nurses.

Should you be lucky enough to have that knee operation you have waited so long for, you will have to wait another six weeks before physiotherapy,  how can that be reasonable, and help your full recovery ?

In fairness to Andrew Green, the hospital was a basket case after being headed by the last Minister Anne Pryke who regularly displayed her incompetence under questioning in the States Assembly on health matters.

The question is - why are waiting lists so long on an extremely wealthy island with a  special rainy day fund ( strategic reserve ) worth an estimated £780 million.

Recently the treasury minister Alan Maclean stated that health was a priority and would receive extra funding of £96 million over four years.
The Health minister is even planning to build a new hospital. The cost goes up every six months by 50 million and has reached £450 million, yet the structure of the existing health service is failing and has been sliding for several years.

These are the same ministers who want to bring in a charge for treatment. Today the health budget is around £179 million per year which is actually generous in real terms for the size and population of Jersey, but weighted down with such a large bloated and expensive management structure, it is no surprise the health service it is running short of money.

There is one cut back that I find upsetting and few appear to have spotted or taken much notice.


The disinterested Jersey accredited media ( anything for a quiet life ) have not held the politicians to account by asking the questions that matter - so let us try a few here.

1) Why are ward beds being removed when the waiting lists are getting considerably longer.

2) How many management staff are being made redundant, so more clinicians including nurses can be employed within budget ?

3) How will you be able to staff a new larger proposed Hospital when you cannot staff the existing one to accepted minimum General Medical Council levels ?

4) Jersey hospital answers only to itself and is therefore self governing and self regulating unlike the NHS hospitals that are overseen by several independent regulators. Has this self regulation hindered forward development and progression by making the service inward looking and apathetic and even disjointed ?

5) Unlike the NHS whereby consultants are – not - allowed to do private work in their working week, has any progress taken place to reduce the publics waiting lists, by curtailing the advantageous 30% of paid working time away from pubic patients but instead dealing with high paying private patients ?  Is management checking and are time sheets completed by consultants ?

Latest news from the Health Minister on improving health care for islanders !

In the coming months there will be at least 25 beds closed for various reasons.Corbiere, Robin, Beauport and the Maternity wards will all be affected.
Some of these bed losses will be temporary, others will be permanent.

http://www.itv.com/news/channel/update/2015-10-21/hospital-beds-to-close-due-to-nursing-shortage/

Quotes are selective please view article.

Medium Term Financial Plan 2016 to 2019

Health

One of our main priorities in this plan is health and social care. We are living longer and that's great news. We all want to remain healthy throughout our lives. But as the working population is not growing as fast as our older population, that comes with substantial cost. That's why we are allocating £96 million of extra funding for health and social services over the four years of the plan.

As the economy is beginning to recover and we are planning sustainable finance measures we are now proposing a new health charge.

We plan to introduce it from 2018,

https://www.gov.je/news/speeches/chiefministers/pages/mediumtermfinancialplan2016.aspx

Death of a nurse for a common minor operation.

BBC

The report stated the hospital relied too heavily on locum staff, the day surgery unit was too busy and the management of the hospital was not clear, was not working and senior staff did not provide sufficient leadership.

http://news.bbc.co.uk/1/hi/world/europe/jersey/8491448.stm

Boatyboy.
« Last Edit: October 29, 2015, 03:37:49 PM by boatyboy »

Offline Jerry Gosselin

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Re: Jersey General Hospital
« Reply #207 on: October 31, 2015, 05:49:28 PM »
I don't know how much people are paying in parking fees to visit seriously ill relatives at Jersey's General Hospital but I know the situation in England is a disgrace.

A backbench Labour MP who had to pay £40 per week in hospital parking charges when her mother was ill saw her Private Member's Bill to give free parking to carers wrecked by several Tory MPs in the Commons this week. >:( Most prominent among them was Philip Davies MP, who filibustered for 90 minutes in order to help defeat the Bill:

http://www.mirror.co.uk/news/uk-news/shameless-tory-philip-davies-drones-6735548#rlabs=49%20p$9


If I had been in this Labour MPs' shoes, I think I would have seriously struggled to contain my anger. It is underhand parliamentary tricks like this that only add to the public's utter contempt for politicians.
« Last Edit: October 31, 2015, 06:16:14 PM by Jerry Gosselin »

Offline man in the street

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Re: Jersey General Hospital
« Reply #208 on: November 01, 2015, 08:23:10 PM »
To myself, it looks like we. Are sliding into a senario where it looks like the the service of a third world outpost.
It is no wonder that most good employers give their staff medical insurance.
You may be seen quicker,or even the option to be seen off island.speaking from the experience of. What hhas and what is happening to my wife.
If it was car that you had taken to a garage, you would have a case for recompense under the goods and services act..
It would appear that as soon as you are out the door, that is where the care and support. Ends.
Unless you have picked up a infection whilst in the hospital,who will come to your house till your treatment ends.
 Another band of good hard working folk who are under staffed.
It quite true to say that a new hospital will not fix the ills of the system in place to make the hospital function .
 A new hospital does not need to a a iconic architectural statement.
 Any clean square well lit ,ventilated, heated , cooled well staffed room wil do.
I notice that raddison blu. Has a indoor car boot sale today, to bring in  a few pounds.
Maybe the shareholders of the raddison  would vote to sellnit to our government as a shell to. Convert into hospital .
And build the new operating theatres alongside.
One thing our government and the riders of the gravy train are good at doing is talking about it.

Offline boatyboy

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Re: Jersey General Hospital
« Reply #209 on: February 23, 2016, 03:10:47 PM »


The good news is that the ministers got what they wanted to spend around £8 million on green open land at Plemont they succeeded money magically appearing. Now they tell us they want to build on " peoples park " one of the few green lungs of St Helier.

Are Jersey residents being taken for a ride by a sytem that is bodering on a dictatorship ?

As a reminder,

https://www.youtube.com/watch?v=wU0Y0Uji3-w

The peoples park bit of fun yesterday was obviously just a well timed reminder that the demonstration in the Royal square today - starting at 12.30pm through to !.00pm will unite the people and hopefully send a strong message and confirm Minister Greens statement. It is our Island the 100,000 that live here.

It is not owned by 22 ministers and assistants and 10 conservative constables who mathmatical are able to bulldoze any thing they wish through diue to there being a total of only 49 in the assembly. Time to send a message to leave the well used Park alone. With no immigration policy  ( confirmed  by the amount of flats and offices being built ) we need all the green parks we can get.

See you there.

BB